VALLEY CHILDRENS HEALTHCARE FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
VALLEY CHILDRENS HEALTHCARE FOUNDATION (EIN 94-2797447)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-13
IRS object ID
202042269349302544
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-13T19:38:28-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LN STE 200AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942797447EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY CHILDREN'S HEALTHCARE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTHECBusinessNameControlTxt
Phone5593533000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1Txt
CityMADERACityNm
State AbbreviationCAStateAbbreviationCd
ZIP936368762ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELE WALDRONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5593533000PhoneNum
Signature2020-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRACY S PAGLIAPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
Preparation2020-08-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address174.31.78.238IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-12IPDt
IP Tm15:07:31IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id5A84561D947C5856B3AEF921D2AF89307CF8C361AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELE WALDRONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1Txt
CityMADERACityNm
State AbbreviationCAStateAbbreviationCd
ZIP936368762ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$36,800,556GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO GENERATE FUNDS TO SUPPORT THE GOALS OF VALLEY CHILDREN'S HEALTHCARE AND ITS AFFILIATED ENTITIES.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee22TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,256,134PYContributionsGrantsAmt
CY Contributions Grants$24,848,761CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$852,060PYInvestmentIncomeAmt
CY Investment Income$793,670CYInvestmentIncomeAmt
PY Other Revenue$4,231PYOtherRevenueAmt
CY Other Revenue-$68,600CYOtherRevenueAmt
PY Total Revenue$16,112,425PYTotalRevenueAmt
CY Total Revenue$25,573,831CYTotalRevenueAmt
PY Grants And Similar Paid$9,111,261PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$13,141,751CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,243,467PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,383,233CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$381,204PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$433,470CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,369,200CYTotalFundraisingExpenseAmt
PY Other Expenses$663,344PYOtherExpensesAmt
CY Other Expenses$694,444CYOtherExpensesAmt
PY Total Expenses$12,399,276PYTotalExpensesAmt
CY Total Expenses$16,652,898CYTotalExpensesAmt
PY Revenues Less Expenses$3,713,149PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,920,933CYRevenuesLessExpensesAmt
Total Assets BOY$34,374,692TotalAssetsBOYAmt
Total Assets EOY$40,797,587TotalAssetsEOYAmt
Total Liabilities BOY$991,228TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,047,752TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$33,383,464NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$39,749,835NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionVALLEY CHILDREN'S HEALTHCARE FOUNDATION IS A CHARITABLE TAX-EXEMPT ORGANIZATION BENEFITING VALLEY CHILDREN'S HEALTHCARE AND ITS AFFILIATED ENTITIES. THE FOUNDATION'S MISSION IS TO GENERATE FUNDS TO SUPPORT THE GOALS OF VALLEY CHILDREN'S HEALTHCARE AND ITS AFFILIATED ENTITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,870,135ExpenseAmt
Grant$11,870,135GrantAmt
DescDISTRIBUTION TO VALLEY CHILDREN'S HOSPITAL, A NONPROFIT 501(C)(3) ORGANIZATION, FOR EQUIPMENT AND OPERATIONAL EXPENSES: $11,870,135.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,271,616ExpenseAmt
Grant$1,271,616GrantAmt
DescDISTRIBUTION TO VALLEY CHILDREN'S MEDICAL GROUP, A NONPROFIT 501(C)(3) ORGANIZATION, FOR EQUIPMENT AND OPERATIONAL EXPENSES: $1,271,616Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$13,141,751TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee22EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHELE WALDRONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5593533000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 VALLEY CHILDRENS PLACEAddressLine1Txt
CityMADERACityNm
State AbbreviationCAStateAbbreviationCd
ZIP93636ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHELE R WALDRON
TREASURER, CFO2.5047.50Yes (X)Yes (X)$0$815,408-$351,435
ROBERT SAROYAN
PRESIDENT40.00Yes (X)Yes (X)$0$598,956$89,940
KIM RUIZ-BECK
CHAIRMAN THRU 1/15/19/BOARD MEMBER1.001.00Yes (X)Yes (X)$0$0$0
DANIELLE PARNAGIAN
SECRETARY THRU 1/15/191.001.00Yes (X)Yes (X)$0$0$0
DAN ADAMS
CHAIR EFFECTIVE 1/15/191.001.00Yes (X)Yes (X)$0$0$0
KEN RAMOS
BOARD MEMBER/SECR. START 1/15/191.00Yes (X)Yes (X)$0$0$0
ERIN BERBERIAN-GLEASON
BOARD MEMBER1.0040.00Yes (X)$0$121,496-$26,332
BLAIR CUNNINGS
BOARD MEMBER1.00Yes (X)$0$0$0
MARTY FLAMING
BOARD MEMBER1.00Yes (X)$0$0$0
KENNETH JUE
BOARD MEMBER THRU 1/20191.00Yes (X)$0$0$0
LINDA BLISS
BOARD MEMBER1.00Yes (X)$0$0$0
PAUL MCDOUGAL
BOARD MEMBER1.00Yes (X)$0$0$0
PATRICK MURPHY
BOARD MEMBER1.00Yes (X)$0$0$0
CAREN MYERS
BOARD MEMBER1.00Yes (X)$0$0$0
SKIP NUGENT
BOARD MEMBER1.00Yes (X)$0$0$0
CARL REFUERZO
BOARD MEMBER1.00Yes (X)$0$0$0
DEBBIE SMADES-HENES
BOARD MEMBER1.00Yes (X)$0$0$0
DR NADARASA VISVESHWARA
BOARD MEMBER1.00Yes (X)$0$0$0
RICHARD SHEHADEY
BOARD MEMBER1.00Yes (X)$0$0$0
KEVIN WILLIAMS
BOARD MEMBER1.00Yes (X)$0$0$0
KATHY HORSTMANN-HUEBERT
BOARD MEMBER1.00Yes (X)$0$0$0
LANCE MOUW
BOARD MEMBER1.00Yes (X)$0$0$0
TERANCE FRAZIER
BOARD MEMBER1.00Yes (X)$0$0$0
JR SHANNON
BOARD MEMBER1.00Yes (X)$0$0$0
TODD SUNTRAPAK
FORMER BOARD PRESIDENT0.0050.00$0$1,601,913-$290,532Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,137,773TotReportableCompRltdOrgAmt
Total Other Compensation-$578,359TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CHILDREN'S MIRACLE NETWORK
205 WEST 700 SOUTHSALT LAKE CITYUT84101FUNDRAISING$560,768
VALLEY CHILDREN'S HEALTHCARE
9300 VALLEY CHILDRENS PLACEMADERACA93630MANAGEMENT SERVICES$266,469
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Federated Campaigns$2,127,896FederatedCampaignsAmt
Fundraising$2,164,037FundraisingAmt
All Other Contributions$20,556,828AllOtherContributionsAmt
Noncash Contributions$65,484NoncashContributionsAmt
Total Contributions$24,848,761TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$623,197TotalRevenueColumnAmt
Exclusion$623,197ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,001,650SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,831,177SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$170,473SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$170,473TotalRevenueColumnAmt
Exclusion$170,473ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$326,948FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$2,164,037ContriRptFundraisingEventAmt
Fundraising Direct Expenses$395,548FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$68,600TotalRevenueColumnAmt
Exclusion-$68,600ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,573,831TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$725,070ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$13,141,751TotalAmt
Program Services$13,141,751ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,697,816TotalAmt
Management And General$622,923ManagementAndGeneralAmt
Fundraising$1,074,893FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$135,522TotalAmt
Management And General$38,323ManagementAndGeneralAmt
Fundraising$97,199FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$446,826TotalAmt
Management And General$167,429ManagementAndGeneralAmt
Fundraising$279,397FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$103,069TotalAmt
Management And General$32,600ManagementAndGeneralAmt
Fundraising$70,469FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,357TotalAmt
Management And General$1,357ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,259TotalAmt
Management And General$2,259ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,320TotalAmt
Management And General$17,320ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$433,470TotalAmt
Fundraising$433,470FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$104,743TotalAmt
Management And General$104,743ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$128,244TotalAmt
Fundraising$128,244FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$19,504TotalAmt
Management And General$4,876ManagementAndGeneralAmt
Fundraising$14,628FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$124,871TotalAmt
Management And General$9,227ManagementAndGeneralAmt
Fundraising$115,644FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,500TotalAmt
Management And General$375ManagementAndGeneralAmt
Fundraising$1,125FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$72,583TotalAmt
Management And General$61,880ManagementAndGeneralAmt
Fundraising$10,703FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,296TotalAmt
Management And General$6,296ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,287TotalAmt
Management And General$21,287ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,851TotalAmt
Management And General$963ManagementAndGeneralAmt
Fundraising$2,888FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
TAXES & LICENSES$44,643$12,630$32,013
BANK CHARGES$30,688$7,902$22,786
DUES & SUBSCRIPTIONS$10,184$2,546$7,638

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$105,114TotalAmt
Management And General$27,011ManagementAndGeneralAmt
Fundraising$78,103FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,652,898TotalAmt
Program Services$13,141,751ProgramServicesAmt
Management And General$1,141,947ManagementAndGeneralAmt
Fundraising$2,369,200FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$300BOYAmt
EOY$300EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,608,559BOYAmt
EOY$5,339,785EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$206,151BOYAmt
EOY$96,625EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$222,924LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$94,629LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$169,388BOYAmt
EOY$128,295EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,603,259BOYAmt
EOY$14,908,083EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$12,970,797BOYAmt
EOY$12,900,316EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,816,238BOYAmt
EOY$7,424,183EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$34,374,692BOYAmt
EOY$40,797,587EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$991,228BOYAmt
EOY$1,047,752EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$991,228BOYAmt
EOY$1,047,752EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,134,886BOYAmt
EOY$465,931EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,447,762BOYAmt
EOY$14,936,185EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,800,816BOYAmt
EOY$24,347,719EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,383,464BOYAmt
EOY$39,749,835EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,374,692BOYAmt
EOY$40,797,587EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,920,933ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$68,611NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,623,173OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,307,898CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,407,187CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,469,817CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,245,135CurrentTaxYearMinus1YearAmt
Current Tax Year$24,846,261CurrentTaxYearAmt
Total$80,276,298TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,307,898CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,407,187CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,469,817CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,245,135CurrentTaxYearMinus1YearAmt
Current Tax Year$24,846,261CurrentTaxYearAmt
Total$80,276,298TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$9,043,199SubstantialContributorsTotAmt
Public Support Total170$71,233,099PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$355,152CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$402,242CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$502,454CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$599,265CurrentTaxYearMinus1YearAmt
Current Tax Year$623,197CurrentTaxYearAmt
Total$2,482,310TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$88,786CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,490CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$47,439CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,231CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$184,946TotalAmt
FieldValueIRS element (for citing)
Total Support$82,943,554TotalSupportAmt
Public Support CY1700.85880PublicSupportCY170Pct
Public Support PY1700.86140PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,800,816BeginningYearBalanceAmt
Contributions$1,546,903ContributionsAmt
End Year Balance$24,347,719EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,217,356BeginningYearBalanceAmt
Contributions$1,583,460ContributionsAmt
End Year Balance$22,800,816EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,861,597BeginningYearBalanceAmt
Contributions$3,355,759ContributionsAmt
End Year Balance$21,217,356EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,327,045BeginningYearBalanceAmt
Contributions$1,534,552ContributionsAmt
End Year Balance$17,861,597EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,901,775BeginningYearBalanceAmt
Contributions$2,425,270ContributionsAmt
End Year Balance$16,327,045EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,457OtherCostOrOtherBasisAmt
Depreciation$1,950DepreciationAmt
Book Value$2,507BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$218,467OtherCostOrOtherBasisAmt
Depreciation$92,679DepreciationAmt
Book Value$125,788BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$128,295TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescLIMITED PARTNERSHIPS AND HEDGE FUNDSDesc
Book Value$12,900,316BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$12,900,316TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
IRREVOCABLE TRUST RECEIVABLE$6,471,018
ANNUITY RECEIVABLE$150,055
OTHER$803,110
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,424,183TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTO PROVIDE A PERPETUAL AND PREDICTABLE SOURCE OF REVENUE FOR THE USE AND BENEFIT OF VARIOUS PROGRAMS, OPERATING AND CAPITAL NEEDS OF VALLEY CHILDREN'S HEALTHCARE AND ITS AFFILIATED ENTITIES.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S MIRACLE NETWORKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 WEST 700 SOUTHAddressLine1Txt
CitySALT LAKE CITYCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84101ZIPCd
FieldValueIRS element (for citing)
ActivityCOORDINATE DIRECT MAIL PROGRAM AND OTHER CAMPAIGNActivityTxt
Fundraiser Control Of FundsYes (1)FundraiserControlOfFundsInd
Gross Receipts$484,924GrossReceiptsAmt
Retained By Contractor$433,470RetainedByContractorAmt
Net To Organization$51,454NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$484,924TotalGrossReceiptsAmt
Total Retained By Contractors$433,470TotalRetainedByContractorsAmt
Total Net To Organization$51,454TotalNetToOrganizationAmt
Licensed StatesALLicensedStatesCd
Licensed StatesAKLicensedStatesCd
Licensed StatesAZLicensedStatesCd
Licensed StatesARLicensedStatesCd
Licensed StatesCALicensedStatesCd
Licensed StatesCOLicensedStatesCd
Licensed StatesCTLicensedStatesCd
Licensed StatesDELicensedStatesCd
Licensed StatesFLLicensedStatesCd
Licensed StatesGALicensedStatesCd
Licensed StatesHILicensedStatesCd
Licensed StatesIDLicensedStatesCd
Licensed StatesILLicensedStatesCd
Licensed StatesINLicensedStatesCd
Licensed StatesIALicensedStatesCd
Licensed StatesKSLicensedStatesCd
Licensed StatesKYLicensedStatesCd
Licensed StatesLALicensedStatesCd
Licensed StatesMELicensedStatesCd
Licensed StatesMDLicensedStatesCd
Licensed StatesMALicensedStatesCd
Licensed StatesMILicensedStatesCd
Licensed StatesMNLicensedStatesCd
Licensed StatesMSLicensedStatesCd
Licensed StatesMOLicensedStatesCd
Licensed StatesMTLicensedStatesCd
Licensed StatesNELicensedStatesCd
Licensed StatesNVLicensedStatesCd
Licensed StatesNHLicensedStatesCd
Licensed StatesNJLicensedStatesCd
Licensed StatesNMLicensedStatesCd
Licensed StatesNYLicensedStatesCd
Licensed StatesNCLicensedStatesCd
Licensed StatesNDLicensedStatesCd
Licensed StatesOHLicensedStatesCd
Licensed StatesOKLicensedStatesCd
Licensed StatesORLicensedStatesCd
Licensed StatesPALicensedStatesCd
Licensed StatesRILicensedStatesCd
Licensed StatesSCLicensedStatesCd
Licensed StatesSDLicensedStatesCd
Licensed StatesTNLicensedStatesCd
Licensed StatesTXLicensedStatesCd
Licensed StatesUTLicensedStatesCd
Licensed StatesVTLicensedStatesCd
Licensed StatesVALicensedStatesCd
Licensed StatesWALicensedStatesCd
Licensed StatesWVLicensedStatesCd
Licensed StatesWILicensedStatesCd
Licensed StatesWYLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1KID'S DAYEvent1Nm
Gross Receipts Event1$630,307GrossReceiptsEvent1Amt
Charitable Contri Event1$432,832CharitableContriEvent1Amt
Gross Revenue Event1$197,475GrossRevenueEvent1Amt
Other Direct Expenses Event1$137,932OtherDirectExpensesEvent1Amt
Event2HARVEST BALLEvent2Nm
Gross Receipts Event2$1,860,678GrossReceiptsEvent2Amt
Charitable Contri Event2$1,731,205CharitableContriEvent2Amt
Gross Revenue Event2$129,473GrossRevenueEvent2Amt
Food And Beverage Event2$100,217FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$157,399OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$2,490,985GrossReceiptsTotalAmt
Charitable Contributions Tot$2,164,037CharitableContributionsTotAmt
Gross Revenue Total Events$326,948GrossRevenueTotalEventsAmt
Food And Beverage Total Events$100,217FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$295,331OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$395,548DirectExpenseSummaryEventsAmt
Net Income Summary-$68,600NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
VALLEY CHILDREN'S HOSPITAL
9300 VALLEY CHILDRENS PLACEMADERACA93636941294954501(C)(3)$11,870,135FMVVARIOUS ITEMSEQUIPMENT AND OPERATIONAL EXPENSES
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACEMADERACA93636464150987501(C)(3)$1,271,616DISTRIBUTIONS TO VALLEY CHILDREN'S MEDICAL GROUP FOR CAPITAL AND OPERATIONAL EXPENSES
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationVALLEY CHILDREN'S HEALTHCARE FOUNDATION MAKES GRANTS ONLY TO RELATED ORGANIZATIONS. NO MONITORING OF THE USE OF GRANT FUNDS, OTHER THAN TO MEET DONOR RESTRICTIONS, IS NEEDED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHELE R WALDRON
TREASURER, CFO$0$550,239$0$155,934$0$109,235$0-$367,753$0$16,318$0$463,973$0$69,875
ROBERT SAROYAN
PRESIDENT$0$375,983$0$109,650$0$113,323$0$79,062$0$10,878$0$688,896$0$62,735
ERIN BERBERIAN-GLEASON
BOARD MEMBER$0$121,423$0$0$0$73$0-$37,210$0$10,878$0$95,164$0$0
TODD SUNTRAPAK
FORMER BOARD PRESIDENT$0$1,049,041$0$336,667$0$216,205$0-$317,728$0$27,196$0$1,311,381$0$145,530

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE FOUNDATION RELIED ON A RELATED ORGANIZATION, VALLEY CHILDREN'S HOSPITAL, TO ESTABLISH THE COMPENSATION AND BENEFITS OF THE FOUNDATION'S CEO, USING ALL OF THE METHODS INCLUDED ON LINE 3 EXCEPT "FORM 990 OF OTHER ORGANIZATIONS AND "WRITTEN EMPLOYMENT CONTRACT".
PART I, LINE 4BVALLEY CHILDREN'S HOSPITAL, A RELATED ORGANIZATION, HAS FOUR SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS INCLUDING A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A DEFERRED COMPENSATION PLAN FOR SELECTED EXECUTIVES, A NON-CONTRIBUTORY, NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR A SELECT GROUP OF MANAGEMENT CALLED THE DEFINED CONTRIBUTION SUPPLEMENTAL EXEC RETIREMENT PLAN (DC SERP) AND A SPLIT-DOLLAR LIFE INSURACNE PROGRAM AVAILABLE TO CERTAIN KEY EXECUTIVES. $278,141 WAS PAID OUT OF THE PLANS DURING THE YEAR. EMPLOYEE AND EMPLOYER CONTRIBUTIONS TO THE DEFERRED COMPENSATION PLAN, EMPLOYER CONTRIBUTION TO THE DCSERP AND THE CHANGE IN ACTUARIAL VALUE OF SERP BENEFITS FOR THE 2018 TAX YEAR ARE AS FOLLOWS: MICHELE WALDRON - DCSERP $83,162; NOT ELIGIBLE FOR SERP. DEFERRED COMPENSATION INCLUDES A DECREASE IN ACTUARIAL VALUE FOR THE DEFINED BENEFIT PLAN IN THE AMOUNT OF $477,015. THE PLAN WAS TERMINATED AND THE EMPLOYEE ELECTED TO TRANSFER THE FUNDS INTO A PERSONAL IRA ACCOUNT. TODD SUNTRAPAK - NOT ELIGIBLE FOR DC SERP OR SERP. DEFERRED COMPENSATION INCLUDES A DECREASE IN ACTUARIAL VALUE FOR THE DEFINED BENEFIT PLAN IN THE AMOUNT OF $333,928. THE PLAN WAS TERMINATED AND THE EMPLOYEE ELECTED TO TRANSFER THE FUNDS INTO A PERSONAL IRA ACCOUNT. ERIN BERBERIAN-GLEASON - NOT ELIGIBLE FOR DC SERP OR SERP. DEFERRED COMPENSATION INCLUDES A DECREASE IN ACTUARIAL VALUE FOR THE DEFINED BENEFIT PLAN IN THE AMOUNT OF $139,219. THE PLAN WAS TERMINATED AND THE EMPLOYEE ELECTED TO TRANSFER THE FUNDS INTO THE ORGANIZATIONS 403(B) PLAN.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution15ContributionCnt
Noncash Contributions Rpt F990$65,484NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE AMOUNT REPORTED IN COLUMN (B) IS THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6VALLEY CHILDREN'S HEALTHCARE IS THE SOLE MEMBER OF THE CORPORATION. CERTAIN MEMBER RIGHTS INCLUDE THE RIGHT TO APPROVE, ELECT, AND REMOVE ELECTED BOARD MEMBERS OF THE FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ASEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION A, LINE 7BSEE ANSWER FOR LINE 6 ABOVE
FORM 990, PART VI, SECTION B, LINE 11BA SUMMARY OF THE FORM 990 IS UPLOADED TO A SECURED BOARD PORTAL AND THE FORM 990 IS MADE AVAILABLE IN THE FOUNDATION OFFICE PRIOR TO THE FILING DATE. BOARD MEMBERS ARE ASKED TO REVIEW THE SUMMARY AND 990 AND PRESENT ANY QUESTIONS THEY MAY HAVE TO THE CFO. CHANGES CAN BE MADE IF WARRANTED BEFORE THE 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE FOUNDATION BOARD OF TRUSTEES MAINTAINS A CONFLICT OF INTEREST POLICY WITHIN THE FOUNDATION'S CORPORATE BYLAWS. THE POLICY REQUIRES EACH TRUSTEE TO DISCLOSE PERSONAL FINANCIAL INTERESTS BY EXECUTING ANNUAL STATEMENTS AND REPORTING SPECIFIC INTERESTS ON AN AD HOC BASIS. A STANDING VALLEY CHILDREN'S HEALTHCARE GOVERNANCE COMMITTEE IS TASKED TO REVIEW DISCLOSED INTERESTS, TO ASSESS WHETHER A CONFLICT OF INTEREST EXISTS AND MAKE RECOMMENDATIONS REGARDING FURTHER ACTION AS MAY BE NECESSARY TO MITIGATE OR ELIMINATE A CONFLICT. FOUNDATION SUPPORT STAFF ARE EMPLOYED BY VALLEY CHILDREN'S HOSPITAL AND ARE THEREFORE SUBJECT TO THE HOSPITAL'S CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE OFFICERS AND SUPPORT STAFF OF THE FOUNDATION ARE EMPLOYED BY THE HOSPITAL. AS SUCH, THE FOUNDATION DOES NOT HAVE EMPLOYEES THAT IT PAYS DIRECTLY. AS PROVIDED BY VALLEY CHILDREN'S HEALTHCARE BYLAWS, A COMPENSATION COMMITTEE HAS BEEN ESTABLISHED THAT CONSISTS OF A CHAIR AND AT LEAST THREE MEMBERS OF THE BOARD OF TRUSTEES. THE PRIMARY ROLE OF THIS COMMITTEE IS TO ENSURE THAT COMPENSATION IS REASONABLY RELATED TO THE DUTIES PERFORMED FOR THE NETWORK AND WITH THE COMPETITIVE EMPLOYMENT MARKET. DUTIES AND ACTIVITIES SPECIFIC TO PRESIDENT, OFFICERS, AND KEY EMPLOYEES OF THE ORGANIZATION INCLUDE: 1) PERIODIC REVIEW BASED ON THE INDEPENDENT ADVICE OF AN EXTERNAL QUALIFIED COMPENSATION CONSULTANT 2) REVIEW OF MARKET DATA FOR EQUIVALENT POSITIONS 3) REVIEW AND APPROVAL OF TERMS AND CONDITIONS OF THE PRESIDENT'S EMPLOYMENT AND OVERSIGHT TO ASSURE FORMAL AND TIMELY PERFORMANCE ASSESSMENTS ARE CONDUCTED 4) REVIEW AND APPROVAL OF EXECUTIVE LEVEL COMPENSATION TO ASSURE THAT TERMS AND CONDITIONS OF EMPLOYMENT ARE MARKET COMPETITIVE
FORM 990, PART VI, SECTION C, LINE 19A COPY OF FOUNDATION'S ARTICLES OF INCORPORATION IS ON FILE WITH THE CALIFORNIA SECRETARY OF STATE. A COPY OF THE CORPORATE BYLAWS OF THE FOUNDATION IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CONFLICT OF INTEREST MANAGEMENT IS DESCRIBED IN ARTICLE 10 OF THE BYLAWS. THE HOSPITAL PREPARES CONSOLIDATED ANNUAL FINANCIAL STATEMENTS WHICH ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM. THESE STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF GIFT ANNUITY -5,000. RESERVE FOR UNCOLLECTIBLE PLEDGES -20,000. IRREVOCABLE TRUST NA RELEASE -2,598,173.
FORM 990, PART III, LINE 4CTHE VALLEY CHILDREN'S HEALTHCARE FOUNDATION IS A CHARITABLE TAX-EXEMPT ORGANIZATION BENEFITING VALLEY CHILDREN'S HEALTHCARE AND ITS AFFILIATED ENTITIES, VALLEY CHILDREN'S HOSPITAL AND VALLEY CHILDREN'S MEDICAL GROUP. THE FOUNDATION'S MISSION IS CLEAR AND UNEQUIVOCAL: "GENERATE FUNDS TO SUPPORT THE GOALS OF VALLEY CHILDREN'S HEALTHCARE AND ITS AFFILIATED ENTITIES, VALLEY CHILDREN'S HOSPITAL AND VALLEY CHILDREN'S MEDICAL GROUP." AS THE FUNDRAISING ARM OF VALLEY CHILDREN'S HEALTHCARE AND ITS AFFILIATES, THE FOUNDATION UTILIZES A VARIETY OF PROGRAMS TO RAISE PHILANTHROPIC FUNDS TO MEET VALLEY CHILDREN'S HEALTHCARE'S MISSION. THE FOUNDATION IS A PARTICIPATING MEMBER OF THE CHILDREN'S MIRACLE NETWORK, AND OTHER WIDELY ANTICIPATED VALLEY EVENTS, INCLUDING THE ANNUAL KID'S DAY AND THE HARVEST BALL. IN ADDITION, THE FOUNDATION HAS DEVELOPED CORPORATE, ANNUAL CAUSE-MARKETING, OUTSIDE SPECIAL EVENTS, TRIBUTES, DIRECT MAIL, AND MAJOR AND PLANNED GIFT PROGRAMS. WHILE THE ONLY "MEMBER" OF THE FOUNDATION IS VALLEY CHILDREN'S HEALTHCARE, THE WORK OF THE FOUNDATION IS DIRECTED AND ASSISTED BY THE BOARD OF DIRECTORS COMPRISING 19 VOLUNTEER COMMUNITY MEMBERS. FOUNDED IN 1981, THE FOUNDATION HAS DEVELOPED AND LED COMMUNITY-BASED PHILANTHROPIC EFFORTS TO SUPPORT THE HOSPITAL IN ADDITION TO THE WORK OF THE HOSPITAL GUILDS. IN ITS INITIAL YEARS, THE FOUNDATION'S FUND RAISING EFFORTS WERE LARGELY FOCUSED ON SPECIAL EVENTS AND ANNUAL PROGRAMS. PRESENTLY THE FOUNDATION IS FOCUSED ON BUILDING PROGRAMS TO SUPPORT A MAJOR GIFTS CULTURE TO COMPLIMENT THE CORE ANNUAL FUNDING PROGRAMS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
VALLEY CHILDREN'S HOSPITAL
9300 VALLEY CHILDRENS PLACEMADERACA93636941294954HOSPITALCA501(C)(3)3VALLEY CHILDREN'S HEALTHCARE0
VALLEY CHILDREN'S MEDICAL GROUP
9300 VALLEY CHILDRENS PLACEMADERACA93636464150987HEALTH CARECA501(C)(3)LINE 10VALLEY CHILDREN'S HEALTHCARE0
VALLEY CHILDREN'S HEALTHCARE
9300 VALLEY CHILDRENS PLACEMADERACA93636464158433HEALTH CARECA501(C)(3)LINE 12C, III-FI0N/A
HOLIDAY GUILD
1772 W BULLARD AVEFRESNOCA93711946079304RETAIL BOUTIQUE TO SUPPORT VCH FOUNDATIONCA501(C)(3)LINE 12D, III-O0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
VALLEY PHYSICIANS ALLIANCE LLC
9300 VALLEY CHILDRENS PLACEMADERACA93636813817791MANAGEMENT SERVICECAN/A
COMPASS HEALTH ADMINISTRATORS LLC
9300 VALLEY CHILDRENS PLACEMADERACA93636822891309BENEFIT ADMINCAN/A
FOWLER BUSINESS & PROFESSIONAL PARK LLC
9300 VALLEY CHILDRENS PLACEMADERACA93636471813772REAL ESTATE INVESTMENTCAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
VALLEY CHILDREN'S HOLDINGS I LLC
9300 VALLEY CHILDRENS PLACEMADERACA93636371872422INVESTINGCAN/AC0
VPA HOLDINGS LLC
9300 VALLEY CHILDRENS PLACEMADERACA93636814192995INVESTINGCAN/AC0
CHARITABLE REMAINDER TRUSTS(4)
HOLDING COCAN/A0
FOWLER BUSINESS & PROFESSIONAL PARK PROPERTY OWNERS ASSOCIATION
9300 VALLEY CHILDRENS PLACEMADERACA93636301030354PROPERTY OWNERS ASSOCIATIONCAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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